Inguinal Hernia Repair During Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy

Ludwig, Wesley W.; Sopko, Nikolai A.; Azoury, Saïd C.; Dhanasopon, Andrew P.; Mettee, Lynda Z.; Dwarakanath, Anirudh; Steele, Kimberley E.; Nguyen, Hien; Pavlovich, Christian P.

doi:10.1089/end.2015.0393

Cited by 31 publications

(13 citation statements)

References 15 publications

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“…Ludwig et al (6) report that 33% of patients scheduled to undergo radical prostatectomy have concomitant inguinal hernia. Additionally, another study that investigated the incidence of inguinal hernia following prostate surgery, reports that the incidence rate of inguinal hernia after radical prostatectomy, open prostatectomy, and transurethral resection of the prostate (TUR-P) was 23.9%, 18.9%, and 2%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Relationship between lower urinary tract symptoms and inguinal hernia

Şentürk

Ekıcı

Şahiner

et al. 2016

Arch Ital Urol Androl

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There was no statistical relationship and difference in rates between IPSS scores in both groups (p = 0.659) and there wasn't a significant correlation between IPSS symptom severity and type of hernia, based on chi square analysis (p = 0.104) Conclusion: We were not able to prove our hypothesis that patients with inguinal hernia and BPH would have higher IPSS scores because of voiding dysfunction.

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Section: Discussionmentioning

confidence: 99%

Relationship between lower urinary tract symptoms and inguinal hernia

Şentürk

Ekıcı

Şahiner

et al. 2016

Arch Ital Urol Androl

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“…In this setting, simultaneous repair of groin hernia can always be repaired quickly and easily. Therefore, groin hernia repair has rapidly gained popularity in the past decade, especially during a robot‐assisted radical prostatectomy, which potentially increases the incidence of groin hernias after surgery . However, whether we really need a surgical robot just for repairing a simple groin hernia is still questionable due to its higher cost, longer operative time, and uncertainty about its clinical benefits …”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic groin hernia repairs are commonly carried out via two standard approaches, either trans‐abdominal pre‐peritoneal (TAPP) repair or total extra‐peritoneal (TEP) repair. In the robotic era, most of the reported robot‐assisted techniques were performed using the TAPP approach, except in very limited case reports of simultaneous TEP repair during a robot‐assisted radical prostatectomy . Although these two standardized laparoscopic approaches for groin hernia repair are comparable in their long‐term clinical outcomes, the TAPP approach was associated with more surgical complications and seroma formation than was the TEP approach in a large‐scale population‐based study …”

Section: Introductionmentioning

confidence: 99%

Novel robot‐assisted laparoscopic total extra‐peritoneal repair with primary fascial closure plus pre‐peritonea mesh for large groin defects

Chen

et al. 2019

Robotics Computer Surgery

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Background:Since the introduction of robot-assisted laparoscopic surgery, a variety of conventional laparoscopic procedures have been explored via this approach. In the robotic era, most of the reported robot-assisted laparoscopic hernia repairs were performed with the trans-abdominal pre-peritoneal approach.According to the evidence extrapolated from laparoscopic ventral hernia repair, simultaneous fascial defect closure and mesh repair can significantly decrease the risk of seroma formation and recurrence over those without fascial closure.Therefore, we describe our novel technique of robot-assisted total extraperitoneal (TEP) repair with primary fascial closure and pre-peritoneal mesh and its preliminary clinical outcomes. Methods: We retrospectively reviewed our prospectively collected hernia database from October 2017 to July 2019, which included 26 consecutive patients with primary or recurrent groin hernias. Patients' baseline characteristics and perioperative outcomes were compared and analyzed. Perioperative factors included operative time, visual analog scale (VAS) score (0-100), hospital stay, perioperative complications, time to return to normal activity, and the modified Medical Outcome Study (MOS; item 3-12/36 items) score. Results: All procedures were completed successfully without conversion to open or conventional laparoscopic surgery. The patients' age ranged from 28 to 74 years (median 57.5). The mean operative time was 115 minutes (range 95-172 min). There were no major procedure-related complications. Only four cases experienced asymptomatic seromas, which were detected by ultrasonography; and all resolved spontaneously within 6 weeks after the operation. The VAS and modified MOSs revealed quick recovery after robot-assisted endoscopic TEP repair.Conclusions: Robot-assisted endoscopic TEP repair combined with primary fascial closure and pre-peritoneal mesh is a safe and feasible technique for groin hernia repair.

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“…The hernia sac was reduced, and the synthetic mesh was used to reinforce the myopectineal orifice. When compared to standard LRP or RARP, unilateral TEP prolonged operative time by approximately 30 min . Since IH recurrence was not observed, the authors concluded that RARP with concomitant TEP is safe, effective, and comparable to the laparoscopic approach.…”

Section: Preventive Measures From Open Surgery To Robotic Surgerymentioning

confidence: 96%

“…When compared to standard LRP or RARP, unilateral TEP prolonged operative time by approximately 30 min. 24 Since IH recurrence was not observed, the authors concluded that RARP with concomitant TEP is safe, effective, and comparable to the laparoscopic approach. Thus, simultaneous IH repair during RARP may be justified in patients with IH or subclinical IH.…”

Section: Ih Development After Rpmentioning

confidence: 98%

Inseparable interaction of the prostate and inguinal hernia

Miyajima

2018

Int J of Urology

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With an increase in their prevalence, it has become apparent that both benign prostatic hyperplasia and radical prostatectomy for cancer can induce inguinal hernia development. An inguinal hernia is a common late complication following radical prostatectomy, with an occurrence rate of 12-25%. Following radical prostatectomy, the space of Retzius can develop adhesions to surrounding tissue, often causing difficulty during inguinal hernia repair. Conversely, inguinal hernia repair before radical prostatectomy also induces severe adhesions around the space of Retzius and causes difficulty during radical prostatectomy. The association between radical prostatectomy and inguinal hernia development is complex and unclear. Both urologists and surgeons are challenged by this interaction. The surgical approaches for prostate cancer have undergone a major transition from open surgery to robotic surgery, and the treatment of inguinal hernia is also changing. Based on historical trends, several preventive and treatment measures have been proposed, although there is no direct evidence for risk factors that lead to inguinal hernia development. This article focuses on the complex interaction between the prostate and inguinal hernia, and considers preventive measures against inguinal hernia development.

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Inguinal Hernia Repair During Extraperitoneal Robot-Assisted Laparoscopic Radical Prostatectomy

Cited by 31 publications

References 15 publications

Relationship between lower urinary tract symptoms and inguinal hernia

Relationship between lower urinary tract symptoms and inguinal hernia

Novel robot‐assisted laparoscopic total extra‐peritoneal repair with primary fascial closure plus pre‐peritonea mesh for large groin defects

Inseparable interaction of the prostate and inguinal hernia

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